Ichiza "Dolak": imiyalelo ukusetyenziswa, nabalingani real

Le ketorolac ezisebenzayo ezingezo-steroidal anti-ezithintela ukosuleleka kunye iintlungu ingqalelo. Ikhoyo nokubakho iikhompawundi generic ezininzi, enye yazo - ". Dolak" Imiyalelo zokusetyenziswa iyichaza njengendlela yokukhetha isiyobisi kunye iimpawu obuluqilima iintlungu ekuhlanganeni kwengubo kwizihlunu ezithambileyo. Kakhulu wayedla "Dolak" ukunyanga izifo kwenkqubo musculoskeletal. Amacwecwe iziyobisi efumanekayo nesisombululo lolawulo intramuscular. Apho uzoba ukukhululwa iziyobisi "Dolak" - linamafutha aqholiweyo. Imiyalelo yokusebenzisa Kucetyiswa ukuba basebenzise yona unyango entsonkothileyo arthrosis, samathambo, ntlungu emva zokonzakala kunye nemisebenzi.

Yeyiphi senzo iziyobisi

Enye ntlungu kakhulu yi "Dolak." Imiyalelo yokusebenzisa kucetyiswa ukuba bayisebenzise ngamandla eliphezulu ahlekise. Baqinisekiswa bathi ukusebenza kwayo iintlungu abamelwe morphine, nangona isiphumo ayibonakali ngoko nangoko, kodwa emva kwemizuzu 30-45. Ukongezelela ntlungu, "Dolak" onesiphumo onjalo:

• ngempumelelo kunciphisa komtshiso oko;
• It lihlisa ubushushu;
• kuphucula fluidity igazi;
• Oku akuthethi ukuba ukozela nokudandatheka zokuphefumla.

Isiphumo ichiza ngoko nangoko azikaqapheleki - iintlungu kudambe emva kwemizuzu engama-45. A kangangoko iintlungu lwenzeka emva kweeyure ezimbalwa. Indlela yokusebenza ye ichiza ezinxulumene ketorolac ekwaziyo evalela i prostaglandins kunye CD acid, ezinabisa ubuzaza intlungu kwaye inxaxheba impendulo arhabaxa.

Field lwesicelo beziyobisi

"Dolak" - sisixhobo unyango nomqondiso. Akunamsebenzi kunyanga nasiphi na isifo, kodwa kunciphisa komtshiso oko. Amaninzi kwiimeko ezingxamisekileyo esibhedlele, xa ufuna ukususa intlungu, ukuba usebenzisa iziyobisi "Dolak." ukusetyenziswa kwayo kwiimeko ezinjalo, kucetyiswa ukuba:

• kwintlungu kakhulu emva kokonzakala, utyando okanye zokubeleka;
• in Oncology;
• neuralgia, ekhatshwa intlungu enkulu kunene;
• ubuhlungu izihlunu ngenxa ukusebenza, umothuko okanye ukudumba;
• ngokuba unyango sciatica, samathambo, arthrosis, osteoarthritis;
• ngokuba ukukhululeka bamazinyo okwethutyana;
• rheumatism.

Izimo ukuba ukusetyenziswa kweziyobisi

Kodwa indlela enjalo angasebenzisa, asingabo bonke abantu abanengxaki iintlungu. Kukho Izimo ezininzi nokusetyenziswa "Dolak" iziyobisi. Lomqulu ke sincoma usebenzisa kuba unyango kwiimeko ezinjalo:

• ukuba isiguli ketorolac isici;
• xa ezimbi kakhulu kwi kidney okanye isibindi;
• phambi ukopha;
• izigulana isilonda esiswini kwakunye ukudumba emathunjini;
• abantwana abangaphantsi kweminyaka eli-16;
• kubazali bakhe, waphula igazi;
• nobandlululo "aspirin";
• hypovolemia okanye emzimbeni;
• abasetyhini abakhulelweyo kunye phindeke.

Kukho kwakhona imeko apho ichiza lisetyenziswa kuphela kwiimeko engqongqo. Xa izigulane cholecystitis, lwegazi, isifuba, isifo seswekile, ukusilela intliziyo, hepatitis, butywala zingasetyenziswa kuphela ngononophelo olukhulu "Dolak." Imiyalelo yokusebenzisa lithethelela ukuba wenze njalo phantsi kweliso gqirha ukuthintela iziphumo ebezingalindelekanga. Musa ukusebenzisa "Dolak 'ukuba unyango lwezigulane ezindala ngaphezu kweminyaka engama-65 kwaye ukusetyenziswa ngaxeshanye kwezinye NSAIDs. Yaye simele sikhumbule ukuba eli yeza iboniswe ukusetyenziswa elifutshane kuphela. Ngoko ke, loo nto ayinakusetyenziswa kwi ukunyanga iintlungu ezingapheliyo.

iintlobo ezahlukileyo ichiza

"Dolak" waziwa kakhulu ngokohlobo iipilisi ze isisombululo yomlomo injectable. isenzo yangaphandle ichiza abangenamandla; ngoko ke, linamafutha ayikho nje kakuhle ukuba isiqabu intlungu kakhulu. Elinye icwecwe "Dolakov" iqulethe 10 mg ketorolac tromethamine. Kubalulekile ukuba ukunikela ingqalelo, ngakumbi kwiimeko apho ichiza ewodwa. Kuyimfuneko ukuba ukubala ithamo ukuze ichiza enza, kodwa akazange inokubangela iziphumo ezibi.

A ndzo ephezulu ketorolac uqulathwe ku ukulungiselela engamanzi "Dolak." Ampoules yemiyalezo lithethelela ukuba usebenzise kuphela kumaziko onyango, ukunqanda libanda. Emva 1 ml yale fomu yokulungiselela iqulethe 30 mg ketorolac, oko kukuthi ithamo ubuninzi enye ukusetyenziswa intramuscular. isitofu ezisetyenziswa kwiimeko ezingxamisekileyo, ekubeni isiphumo kwenzeka kabini ngokukhawuleza nolawulo enjalo kuqulunqo.

"Dolak": imiyalelo yokusebenzisa

Ipali, ukubuyekeza apho ubukhulu becala HIV, phakathi koogqirha kunye nezigulane, wenza ngokufuthi esibhedlele. Bayaphumelela ngenxa yokususwa ahlekise obukhulu kunye nokudumba kakhulu. unyango Lezigulana ukususa buhlungu kakhulu kwamalunga, izihlunu kunye umnqonqo kusetyenziswa iipilisi "Dolak". Imiyalelo yokusebenzisa ikhuthaza koqhubekeko unyango akuntsuku zingaphezu kwe-5. Xa kumiselwa umthamo kuyimfuneko ukunikela ingqalelo ubunzima kunye nobudala isigulane. Isixa ekucetyiswa libalwa abantu kwiminyaka eli-16 ukuya kuma-65 kunye ubunzima kwama-50 kg.

njani ngokufanelekileyo ukuthatha 'Dolak "? Imiyalelo malunga nokusetyenziswa iipilisi ekucetyiswa ukuba singaseli ngaphezu kweeyure ezi-6. Inani eliphezulu elivunyelwe imihla ukuthatha 40 mg, ngoko thabatha 1 tablet. Ulwamkelo lokuqala uvumelekile ukuba kabini. Xa zisetyenziswa kunye, amacwecwe kunye idosi umsebenzi injectable akufanele ibe ngaphezu kwama-60 mg ngosuku.

Indlela yokwenza isicelo "Dolak" ku ampoules

Ingakumbi iziphumo ebezingalindelekanga bavame zenkqubo xa esetyenziselwa ziphene iziyobisi. Eneneni, kulo mzekelo, ketorolac engena ngokukhawuleza egazini kwaye isasazeka wonke umzimba. Ngoko ke kubaluleke kakhulu ukuba bagcine esithathwa "Dolak" iziyobisi ngokuchanekileyo. Imiyalelo yokusebenzisa iinaliti icebisa ukuba wenza intramuscularly. Kuphela kwezinye iimeko na idosi eyamkelekileyo efakwa uvikivwa ngesiqingatha.

Inaliti kuvumelekile ukwenza iminyaka abagulayo-16 ukuya kuma-65 ubudala ezinobunzima nomzimba mkhulu kuno-50 kg. Kulo mzekelo, ichiza nga maliqhutywe 1-2 ampoules amaxesha 3-4 ngosuku. Phakathi iinaliti kufuneka iiyure ezi-6. Kwaye kufuneka uqinisekise ukuba idosi iphezulu ngosuku mayingagqithi 90 mg.

Ukuba ubunzima bomzimba yomguli ungaphantsi kwama-50 kg, iminyaka - engama-65 okanye unesifo isifo sezintso, ukunciphisa idosi iziyobisi. Xa izigulane ezifana nomhla owamkelekileyo ezilawulwa ingabi ngaphezu kwama-60 mg "Dolakov".

imiphumela emibi ichiza

Ngokuqhelekileyo "Dolak" lisetyenziswa kuphela kaxakeka. Ngoko ke, ukusetyenziswa kwayo ngabantu angaphezulu umonakalo Kunikezelwe. Ukanti ncomo abaninzi bathi ichiza kunokubangela iziphumo ezibi kakhulu kwaye ngamanye amaxesha yingozi:

• isicaphucaphu, ukugabha, ukuqumba, iintlungu kummandla epigastric;
• kwesisu disorder, flatulence, ukuqhina, ukopha efakwa;
• yehle emnyama, stomatitis;
• eguquguqukayo uxinzelelo lwegazi, tachycardia;
• umsebenzi ukuphefumla kakuhle, khohlo, dyspnea, kunye bronchospasm;
• irhashalala, pruritus, urticaria;
• nokopha;
• ukungaboni kunye ingqondo, ubuthulu;
• ukudakumba, ukuba nemibono;
• Barr, unditsho, ukungahlaliseki;
• nokudumba, inzuzo ubunzima;
• mothuko anafilaktichsky, angioedema.

Yintoni kube libanda

Ukuba ichiza kusetyenziswa ngqo ngokwemiyalelo, mayingabi sakhululwa overdosed. Ngokuqhelekileyo unyango rate "Dolakov 'inokuba ingadluli kwiintsuku ezi-5. Kodwa ukuba kunjalo, xa iyeza onxilileyo ngaphandle kokuba ugqirha okanye ukudlula idosi ekucetyiswa, imiphumo emibi okunokwenzeka:

• sisilonda sikabhobhosi le inwebu kwiinwebu iphecana zesisu;
• ukunyhashwa kakhulu kumsebenzi izintso;
• lactic metabolic.

nokusebenzisa kabi ichiza kunokubangela uphuhliso kwezifo ezifana gastritis, pancreatitis, ianemia, nokuthimliswa, aseptic meningitis, isifuba.

Unxibelelwano namanye amachiza

Ketorolac Kuyancomeka ukusebenzisa yodwa ingadityaniswa nezinye iziyobisi. Emva koko, okungalungelaniyo kakuhle noko.

• Ukuba usebenzisa ngayo libambisene kunye corticosteroids, kufakelelwa calcium okanye ethanol, basengozini ephezulu ukopha kwisiqwenga zesisu.
• Ukuba usela kunye "Dolak" yaye "paracetamol" kungenzeka zezintso.
• Ukusetyenziswa idibene eli chiza kunye nezinye NSAIDs kungakhokelela uxinzelelo oluphezulu lwegazi, nokudumba kunye nomsebenzi intliziyo.
• Xa unyango kwencindi kwayimfuneko ukuba kuhlaziywe umthamo wayo, njengoko "Dolak" uphucula isiphumo yayo hypoglycemic.
• Ketorolac akufunekanga ukuba isetyenziswe ngexesha unyango kunye anticoagulants, ezifana "aspirin" okanye "lweeHedfowuni". Ngoko ke uphuhliso ukopha kakhulu.
• Emva kokufumana i "Dolakov" kwanciphisa ukusebenza umchamo kunye neziyobisi umfutho.

Siyobisi emiselweyo rhoqo ngokusebenzisana analgesics ezidakumbisayo. Ngoko ukwandisa impumelelo yabo.

imiyalelo ezikhethekileyo ngokufumana ichiza

Akusoloko xa iintlungu eziqatha, ungasebenzisa "Dolak." Imiyalelo yokusebenzisa iinowuthsi ukuba akukho emiselweyo amayeza ngenxa ulondolozo zomzimba phambi uqhaqho. Akwenzeki ukulisebenzisa kwakhona kwixesha postoperative, njengoko Ketorolac kunokubangela ukwanda ukopha. Akuyi Kucetyiswa ukuba basebenzise i "Dolak" nokuba iintlungu njengozalayo.

Ukuthintela uphuhliso izilonda kwi isifo esiswini kunye gastropathy ingathatha asidi, ezifana "Almagel" okanye "Omeprazole".

Ketorolac kubangela ukuhla ingqondo, ukozela, isiyezi, ngoko ngexesha unyango, kungakuhle ukuba ungaqhubi, kwakunye ukuba yenze imisebenzi engathi ibe yingozi kunye neendlela ezahlukeneyo.

Ukongeza, a lot of imiphumela emibi kwaye iingxaki ezinokubangelwa ezithatha ichiza. Kubalulekile ke ngoko ukuba bafunde phambi kokuba usebenzise "Dolak" imiyalelo ukulungiselela ukusetyenziswa.

reviews

Analogs yale arhente phezu makwazeke abathengi. iziyobisi Popular ezifana "Ketorolac", "Ketanov", "Ketorol". Kodwa "Dolak" onesiphumo ngamandla ngokulinganayo iintlungu neendleko akukho engange ngaphezulu kwama-80. Izigulane ezininzi abaye bazama oku unyango, waphawula ukuba nkqu intlungu kakhulu enkulu efanele ketorolac, kwaye nangona iintlungu uhamba ngoko nangoko, kodwa emva kwexesha elide abasayi kubuyela kulo.

Ingakumbi a lot of reviews ezintle malunga "Dolakov" ngabo abaphethwe samathambo, sciatica, neuralgia, iintlungu izihlunu. Ngapha koko, iintlungu loo phantse akunakwenzeka ukuba ufuduke analgesics eziqhelekileyo. A "Dolak" kule meko kakhulu ngempumelelo.